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NPI 1316268345 · Raleigh, NC · Community/Behavioral Health Agency
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Southlight Healthcare is a community/behavioral health agency provider located in Raleigh, North Carolina. This profile covers 2 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Southlight Healthcare |
| Address | 2101 Garner Rd |
| City | Raleigh |
| State | NC |
| ZIP | 27610 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | June 14, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $24.4M |
| Medicare | $124.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 510 | $230 | $115.1K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 240 | $40 | $9.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 320,500 | $30 | $9.9M |
| H0038 | Self‑help/peer services, per 15 minutes | 39,740 | $110 | $4.4M |
| H2015 | Comprehensive community support services, per 15 minutes | 20,920 | $130 | $2.8M |
| H0040 | Assertive community treatment program, per diem | 8,370 | $290 | $2.4M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 16,430 | $130 | $2.1M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 12,070 | $90 | $1.1M |
| T1017 | Targeted case management, each 15 minutes | 3,150 | $260 | $828.5K |
| H2022 | Community-based wrap-around services, per diem | 1,350 | $360 | $490.1K |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 2,780 | $40 | $116.9K |
| H2035 | Alcohol and/or other drug treatment program, per hour | 570 | $180 | $101.1K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 72 | 120 | 15,180 | $230 | $5M |
| H2035 | Alcohol and/or other drug treatment program, per hour | 60 | 70 | 4,970 | $190 | $3.7M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 5 | 90 | 45,620 | $40 | $3.5M |
| H2022 | Community-based wrap-around services, per diem | 141 | 220 | 3,330 | $290 | $3.3M |
| H2015 | Comprehensive community support services, per 15 minutes | 72 | 250 | 10,060 | $130 | $2.4M |
| H0038 | Self‑help/peer services, per 15 minutes | 21 | 310 | 2,820 | $120 | $1.3M |
| T1017 | Targeted case management, each 15 minutes | 61 | 220 | 1,700 | $150 | $1.3M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 7 | 110 | 1,070 | $130 | $628.2K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 898 | 1,710 | 810 | $80 | $274.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 374 | 4,400 | 960 | $60 | $271.3K |
Showing 1–10 of 16
Other providers in the same ZIP code as Southlight Healthcare, ranked by combined Medicare and Medicaid revenue.
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